HFA To Consult Clinicians On Credentialling In HHS

The Health Funding Authority is consulting medical professionals on a standard framework for credentialling medical
practitioners in public hospitals as part of its ongoing quality improvement programme.

Credentialling is a process used within an organisational context to assign specific clinical responsibilities to
medical practitioners based on their training, qualifications, experience and current practice.

HFA quality auditor, Gillian Bohm, says the primary purpose of credentialling is to protect the patient. “Credentialling
will not eliminate human error, nor will it eliminate those few individuals who deliberately attempt to defraud the
system. However, it will identify practitioners who develop a pattern of poor performance and faults within hospital
systems that contribute to medical error.

“Credentialling works alongside performance management, but focuses specifically on practitioners’ technical and
interpersonal skills. It relies on pracitioners’ ability to actively engage in self- and peer-assessment, and takes a
developmental rather than punitive approach,” Ms Bohm says.

Each organisation will develop their own credentialling system based on the national framework, and while there will be
some ability to transport information about the credentialled status of practitioners from one organisation to another,
each organisation must make its own decision about the status of the practitioners it employs.

“There are two types of credentialling – initial credentialling and ongoing or re-credentialling. Initial credentialling
takes place when a practitioner is employed or an organisation introduces credentialling. From then on, senior medical
officers regularly review each practitioner’s role (scope of practice) and competence.

“If a practitioner moves from one organisation to another, their role will obviously need to be determined by the new
employer as part of its initial credentialling of the practitioner,” Ms Bohm says.

The consultation document has been sent to hospital CEOs, medical and nursing colleges, consumer groups and other
stakeholders. Additional copies of the document are available by ringing 0800 ENQUIRE (0800 367 3473) or by visiting the
HFA’s website: www.hfa.govt.nz. The final day for submissions is September 29.

This step is a mechanism to reflect on clinical practice since the last review. It should be held at least every five
years. Service reviews should provide a context for individual reviews. Service reviews should include:

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